中华护理杂志 ›› 2024, Vol. 59 ›› Issue (5): 610-617.DOI: 10.3761/j.issn.0254-1769.2024.05.015
严雪芹(
), 柏素萍(
), 刘巧艳, 周芳芳, 阎蕾, 曹云, 包磊, 高婷, 朱梦雪
收稿日期:2023-03-07
出版日期:2024-03-10
发布日期:2024-03-12
通讯作者:
柏素萍,E-mail:370976460@qq.com作者简介:严雪芹:女,硕士,主管护师,伤口造口失禁专科护士,E-mail:871504926@qq.com
基金资助:
YAN Xueqin(
), BAI Suping(
), LIU Qiaoyan, ZHOU Fangfang, YAN Lei, CAO Yun, BAO Lei, GAO Ting, ZHU Mengxue
Received:2023-03-07
Online:2024-03-10
Published:2024-03-12
摘要:
目的 检索、评价和总结烧伤后创面瘙痒患者非药物干预的最佳证据。方法 计算机检索UpToDate、BMJ Best Practice、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、英国国家卫生与临床优化研究所网站、加拿大安大略省注册护士协会网站、国际指南协作网、医脉通指南网、Cochrane Library、PubMed、中国知网、万方数据库、国际烧伤协会网站、欧洲烧伤协会网站、美国烧伤协会网站、国际伤口网站和中华医学会烧伤外科学分会网站中关于烧伤后创面瘙痒患者非药物干预的证据,包括临床决策、指南、证据总结、系统评价、专家共识。检索时限为建库至2022年12月1日。指南文献由4名研究人员进行评价,其他文献由2名研究人员进行评价,并根据主题对文献内容进行提取、汇总。结果 共纳入10篇文献,包括临床决策4篇、指南3篇、证据总结3篇,总结出评估、保湿润肤、按摩、压力治疗、皮肤降温、其他措施及健康教育7个方面的22条最佳证据。结论 该研究总结的烧伤后创面瘙痒患者非药物干预的最佳证据,为临床应用提供循证依据。医护人员可结合临床情境、伤口愈合情况及患者意愿,合理应用证据,制订干预方案,减轻患者的瘙痒症状,提升护理质量。
严雪芹, 柏素萍, 刘巧艳, 周芳芳, 阎蕾, 曹云, 包磊, 高婷, 朱梦雪. 烧伤后创面瘙痒患者非药物干预的最佳证据总结[J]. 中华护理杂志, 2024, 59(5): 610-617.
YAN Xueqin, BAI Suping, LIU Qiaoyan, ZHOU Fangfang, YAN Lei, CAO Yun, BAO Lei, GAO Ting, ZHU Mengxue. Best evidence summary of non-pharmacological interventions in post-burn itch[J]. Chinese Journal of Nursing, 2024, 59(5): 610-617.
图1 文献筛选流程 注:JBI为乔安娜布里格斯研究所;NICE为英国国家卫生与临床优化研究所;RNAO为加拿大安大略省注册护士协会;GIN为国际指南协作网;ISBI为国际烧伤协会;EBA为欧洲烧伤协会;ABA为美国烧伤协会。
Figure 1 Flow chart of literature screening
| [1] | 吴军, 于家傲, 虞乐华, 等. 烧伤康复[M]. 北京: 人民卫生出版社, 2018:355-360. |
| Wu J, Yu JA, Yu LH, et al. Burn rehabilitation[M]. Beijing: People’s Medical Publishing House, 2018:355-360. | |
| [2] | 吴晓蕾, 李琳, 许乐. 烧伤患者出院半年内希望水平状况及其影响因素[J]. 解放军护理杂志, 2019, 36(2):17-21. |
| Wu XL, Li L, Xu L. Hope level of burn patients within half-year after discharge and its influencing factors[J]. Nurs J Chin PLA, 2019, 36(2):17-21. | |
| [3] | Nedelec B, LaSalle L. Post burn itch:a review of the literature[J]. Wounds, 2018, 30:E118-E124. |
| [4] |
Silverberg JI, Hinami K, Trick WE, et al. Itch in the general internal medicine setting:a cross-sectional study of prevalence and quality-of-life effects[J]. Am J Clin Dermatol, 2016, 17:681-690.
PMID |
| [5] | 王丽, 陈琛, 傅巧美, 等. 烧伤后创面瘙痒相关研究的进展[J]. 浙江医学, 2020, 42(11):1215-1218. |
| Wang L, Chen C, Fu QM, et al. Progress of research on post-burn itch[J]. Zhejiang Med, 2020, 42(11):1215-1218. | |
| [6] | ISBI. ISBI practice guidelines for burn care[EB/OL].(2016-05-17)[2022-12-15]. https://www.science direct.com/science/ar-ticle/pii/S0305417916301449. |
| [7] | Shelley W. Management of burn wound pain and itching[EB/OL].(2022-03-18)[2023-02-20]. https://www-uptodate-com-s.cams.aliya.redhaha.xyz/contents/management-of-burn-wound-pain-and-it-ching?search=Management%20of%20burn%20wound%20pain%20and%20itching&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=1-150. |
| [8] |
殷倩, 涂慧慧, 童晓茹, 等. 非药物措施改善手术患儿麻醉诱导配合度的最佳证据总结[J]. 中华护理杂志, 2022, 57(12):1523-1530.
DOI URL |
|
Yin Q, Tu HH, Tong XR, et al. Summary of the best evidence for non-pharmacological interventions to improve anesthesia induction coordination in children undergoing surgery[J]. Chin J Nurs, 2022, 57(12):1523-1530.
DOI URL |
|
| [9] | 邢唯杰, 胡雁, 周英凤, 等. 推动证据向临床转化(四)以临床转化为目的的证据资源检索[J]. 护士进修杂志, 2020, 35(10):879-882. |
| Xing WJ, Hu Y, Zhou YF, et al. Promoting evidence to clinical transformation:evidence resource retrieval for the purpose of clinical transformation[J]. J Nurses Train, 2020, 35(10):879-882. | |
| [10] |
周雁荣, 吴前胜, 王萧萧, 等. 主动脉夹层患者围手术期管理最佳证据总结[J]. 中华护理杂志, 2022, 57(22):2769-2776.
DOI URL |
|
Zhou YR, Wu QS, Wang XX, et al. Best evidence summary on perioperative management of patients with aortic dissection[J]. Chin J Nurs, 2022, 57(22):2769-2776.
DOI URL |
|
| [11] | 周芬, 郝玉芳, 丛雪, 等. 指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J]. 护理学报, 2018, 25(18):56-58. |
| Zhou F, Hao YF, Cong X, et al. Guidelines for the research and evaluation tool AGREE Ⅱ and additional explanations of scores in each field and think[J]. J Nurs China, 2018, 25(18):56-58. | |
| [12] |
宋青青, 罗方伶, 唐倩, 等. 低分子肝素皮下注射操作的最佳证据总结[J]. 中华护理杂志, 2023, 58(2):232-237.
DOI URL |
| Song QQ, Luo FL, Tang Q, et al. Evidence summary for sub-cutaneous injection of low molecular weight heparin[J]. Chin J Nurs, 2023, 58(2):232-237. | |
| [13] | 朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(五)证据临床转化研究中的文献质量评价[J]. 护士进修杂志, 2020, 35(11):996-1000. |
| Zhu Z, Hu Y, Zhou YF, et al. Promotion evidence to clinical transformation:evidence resource retrieval for the purpose of clinical transformation[J]. J Nurses Train, 2020, 35(11):996-1000. | |
| [14] | Gerd GG. Hypertrophic scarring and keloids following burn injuries[EB/OL].(2021-08-23)[2023-02-20]. https://www-upto-date-com-s.cams.aliya.redhaha.xyz/contents/hypertrophic-scarring-and-keloids-following-burn-injuries?search=Hypertrophic%20scar-ring%20and%20keloids%20following%20burn%20injuries&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=1-150. |
| [15] | Adam OG, Angela MH. Keloids and hypertrophic scars[EB/OL].(2021-02-16)[2023-02-20]. https://www-uptodate-coms.cams.aliya.redhaha.xyz/contents/keloids-and-hypertrophic-scars?search=Keloids%20and%20hypertrophic%20scars&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=1-122. |
| [16] | JBI. Burns scar management:pressure garments[EB/OL].(2021-05-14)[2022-12-01]. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI6512. |
| [17] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
| Wang CQ, Hu Y. JBI evidence pre-ranking and evidence grade of recommendation system(2014 edition)[J]. J Nurses Train, 2015, 30(11):964-967. | |
| [18] | Arek W, David R. Treatment of minor thermal burns[EB/OL].(2021-11-03)[2023-02-20]. https://www-uptodate-com-s.cams.aliya.redhaha.xyz/contents/treatment-of-minor-thermal-burns?search=Treatment%20of%20minor%20thermal%20burns&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=1-150. |
| [19] | European Burns Association. European practice guidelines for burn care:minimum level of burn care provision in Europe[EB/OL].(2017)[2022-11-28]. https://www.euroburn.org/docu-ments/. |
| [20] | Bishara A, Juan PB, Professor HD, et al. Best practice guide-lines effective skin and wound management non-complex burns[EB/OL].(2014-05-08)[2023-02-20]. https://www.wounds inter-national.com/resources/details/best-practice-guidelines-effective-skin-and-wound-management-non-complex-burns. |
| [21] | JBI. Post-burn pruritus/itch:protocol[EB/OL].(2021-05-03)[2022-12-01]. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI6455. |
| [22] | Manuel B. Burns:pruritus(itch)[EB/OL].(2021-04-07)[2022-12-01]. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=referen-ce&D=jbi&NEWS=N&AN=JBI3612. |
| [23] |
Van LNE, Hofland HW, Hendrickx H, et al. Validation of the Burns Itch Questionnaire[J]. Burns, 2016, 42:526-534.
DOI PMID |
| [24] | 王园, 戴昕吭, 余婷, 等. 烧伤瘙痒问卷的汉化及信效度评价[J]. 军事护理, 2022, 39(11):1-4. |
| Wang Y, Dai XH, Yu T, et al. Chinese translation of the Burns Itch Questionnaire and its reliability and validity testing[J]. Mil Nurs, 2022, 39(11):1-4. | |
| [25] |
Lai JW, Chen HC, Chou CY, et al. Transformation of 5-D Itch Scale and Numerical Rating Scale in chronic hemodialysis patients[J]. BMC Nephrol, 2017, 18(1):56.
DOI URL |
| [26] |
Sood RF, Hocking AM, Muffley LA, et al. Race and melano-cortin 1 receptor polymorphism r163q are associated with post-burn hypertrophic scarring:a prospective cohort study[J]. J Invest Dermatol, 2015, 135:2394-2401.
DOI URL |
| [27] | 党瑞, 易南, 石梦娜, 等. 超声波联合手法按摩治疗深度烧伤患者增生性瘢痕瘙痒的效果观察[J]. 中华烧伤杂志, 2016, 32(7):426-428. |
| Dang R, Yi N, Shi MN, et al. Observation on the effect of ultrasonic combined with manual massage on hypertrophic scar itching in deep burn patients[J]. Chin J Burns, 2016, 32(7):426-428. | |
| [28] | 苏玉婷. 烧伤后瘢痕瘙痒患者应用综合护理干预的临床效果分析[J]. 国际医药卫生导报, 2019, 25(5):798-800. |
| Su YT. Comprehensive nursing intervention for patients with itch after burn[J]. Int Med Health Guid News, 2019, 25(5):798-800. | |
| [29] | 张振, 亓明. 原发性下肢浅静脉曲张压力治疗的研究进展[J]. 血管与腔内血管外科杂志, 2022, 8(1):91-96. |
| Zhang Z, Qi M. Progress of compression therapy for primary superficial varicose veins of lower extremity[J]. J Vasc Endo-vascular Surg, 2022, 8(1):91-96. | |
| [30] |
Joo SY, Kim JB, Cho YS, et al. Effect of cold pack therapy for management of burn scar pruritus:a pilot study[J]. Burns, 2018, 44(4):1005-1010.
DOI URL |
| [31] |
Nedelec B, Carrougher GJ. Pain and pruritus postburn injury[J]. J Burn Care Res, 2017, 38(3):142.
DOI PMID |
| [32] | 罗高兴, 李海胜. 烧伤可被视为一种慢性疾病[J]. 中华烧伤与创面修复杂志, 2022, 38(12):1101-1104. |
| Luo GX, Li HS. Burn injury should be considered as a chronic disease[J]. Chin J Burns Wounds, 2022, 38(12):1101-1104. |
| [1] | 梁元元, 高兴莲, 戴张章, 周荣超, 胡娟娟, 王曾妍, 沈剑辉. 医院手术器械管理的最佳证据总结[J]. 中华护理杂志, 2025, 60(8): 1005-1011. |
| [2] | 王婷, 王佳婷, 金爱云, 朱霞明, 方云, 汪靖, 田菲, 濮益琴, 万滢, 贺瑾, 颜霞. 自体造血干细胞移植术后患者护理随访清单的构建及初步应用[J]. 中华护理杂志, 2025, 60(8): 914-920. |
| [3] | 盛婉婷, 王蕊, 赵玉晓, 戚鹏菲, 高祀龙, 冯娟, 吕伯瀚, 牛群, 王刚. 中等长度静脉导管不同尖端位置应用效果的Meta分析[J]. 中华护理杂志, 2025, 60(8): 990-997. |
| [4] | 严雪芹, 曹松梅, 周芳芳, 朱丽群, 陈成, 朱梦雪, 张艳红, 梁怡青, 柏素萍. 手部烧伤患者手功能早期康复管理的最佳证据总结[J]. 中华护理杂志, 2025, 60(8): 998-1004. |
| [5] | 韩文文, 胡春霞, 张凯, 隋伟静, 黄美丽, 潘红英, 宫晓艳, 庄一渝. 1例特重度烧伤患儿基于增强现实技术的远程护理[J]. 中华护理杂志, 2025, 60(6): 677-679. |
| [6] | 魏永婷, 田书梅, 杨娇, 余良欢, 倪福, 范雨晴, 肖瑶, 席祖洋, 沙菊艳, 刘聪. 护士循证决策能力量表的汉化及信效度检验[J]. 中华护理杂志, 2025, 60(6): 736-742. |
| [7] | 王雯静, 郝妩媚, 台靖宇, 董倩, 郭爱敏. 慢性阻塞性肺疾病患者吸入药物治疗体验的Meta整合[J]. 中华护理杂志, 2025, 60(5): 545-551. |
| [8] | 唐佳怡, 唐桂清, 张娜, 李晓波. 慢加急性肝衰竭患者营养管理的最佳证据总结[J]. 中华护理杂志, 2025, 60(5): 581-588. |
| [9] | 刘婷婷, 牛巧红, 焦雪萍, 卫嘉玮, 段少铭, 胡聪丽, 苏芮. 直肠癌保肛术后患者肠道症状体验质性研究的Meta整合[J]. 中华护理杂志, 2025, 60(5): 603-610. |
| [10] | 蒋思珊, 成琴琴, 罗听薇, 张娜, 郭俊晨, 李东雅, 李丹丹, 朱丽辉. 儿童安宁疗护质量评估工具的系统评价[J]. 中华护理杂志, 2025, 60(5): 611-618. |
| [11] | 杜洁, 余强, 李亚敏. 轮班制护士睡眠质量非药物干预的研究进展[J]. 中华护理杂志, 2025, 60(5): 629-634. |
| [12] | 刘宁, 李婧菱, 左顺利, 朱秀媛, 方亦萍, 丘丽红. 烧伤患者身体意象特异性评估工具的系统评价[J]. 中华护理杂志, 2025, 60(4): 478-485. |
| [13] | 中华护理学会老年护理专业委员会, 北京医院 国家老年医学中心, 中国医学科学院老年医学研究院, 北京大学护理学院(执笔:刘文静 王志稳 余跃琳 任欣 琚慧 陈宏 王君鑫 陈闪闪 周佳 伊默 王文霞 张玲娟 陈思烨 杨宇帆 王小萌 孙红). 老年人内在能力评估与维护指南[J]. 中华护理杂志, 2025, 60(3): 261-265. |
| [14] | 段煜, 郭张慧, 张洁, 焦萌, 屈简妮, 刘桂英, 赵丹, 陈颖宇, 郭红. 衰弱老年人运动锻炼促进与阻碍因素的Meta整合[J]. 中华护理杂志, 2025, 60(3): 288-296. |
| [15] | 宗小燕, 李红燕, 韩小云, 景新华. 胃癌患者围手术期口服营养补充管理的最佳证据总结[J]. 中华护理杂志, 2025, 60(3): 355-363. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||